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Outpatient Coding Compliance Auditor Jobs (NOW HIRING)

The Compliance Auditor will support the compliance functions at SJ/C. The auditor is expected to ... Recent work experience in revenue cycle which may include billing, outpatient coding, denials ...

Compliance Auditor

Savannah, GA · On-site

$25.49/hr

The Compliance Auditor will support the compliance functions at SJ/C. The auditor is expected to ... Recent work experience in revenue cycle which may include billing, outpatient coding, denials ...

Compliance Auditor

Savannah, GA · On-site

$25.49/hr

The Compliance Auditor will support the compliance functions at SJ/C. The auditor is expected to ... Recent work experience in revenue cycle which may include billing, outpatient coding, denials ...

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Outpatient Coding Compliance Auditor information

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$31.5K

$68.7K

$112K

How much do outpatient coding compliance auditor jobs pay per year?

As of Aug 8, 2026, the average yearly pay for outpatient coding compliance auditor in the United States is $68,732.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,000.00 and $86,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in an outpatient coding compliance auditor position?

To excel as an Outpatient Coding Compliance Auditor, you need strong knowledge of medical coding standards (such as ICD-10-CM, CPT, and HCPCS), healthcare regulations, and auditing procedures, often backed by a relevant certification like CCS, CPC, or RHIA. Familiarity with electronic health record systems (EHRs), coding audit software, and compliance databases is typically required. Attention to detail, analytical thinking, and effective communication skills set top performers apart in this role. These skills ensure accurate audits, minimize compliance risks, and support healthcare organizations in maintaining regulatory standards.

What is an outpatient coding compliance auditor?

An Outpatient Coding Compliance Auditor is responsible for reviewing medical records and coding practices to ensure accuracy, compliance with regulations, and adherence to coding guidelines. They conduct audits to identify errors or discrepancies in outpatient medical coding, provide education to coding staff, and recommend process improvements. Their role helps healthcare organizations maintain compliance with federal regulations such as HIPAA and CMS guidelines, reducing the risk of billing errors and potential penalties. They may also collaborate with coding teams, physicians, and management to enhance documentation accuracy. This position requires expertise in CPT, ICD-10-CM, and HCPCS coding, as well as a strong understanding of healthcare compliance standards.

What are the typical daily responsibilities of an outpatient coding compliance auditor?

As an Outpatient Coding Compliance Auditor, your day-to-day tasks generally include reviewing patient medical records and coding to ensure compliance with federal regulations and payer requirements. You will perform detailed audits, identify discrepancies or potential areas of risk, and prepare reports documenting your findings. Collaboration with coding teams, physicians, and compliance officers is common, as you may offer feedback, recommend corrective action, and help train staff on best practices. The role often involves staying updated on changing regulations to ensure ongoing compliance and accuracy in medical billing.

More about Outpatient Coding Compliance Auditor jobs
What states have the most Outpatient Coding Compliance Auditor jobs? States with the most job openings for Outpatient Coding Compliance Auditor jobs include:
Infographic showing various Outpatient Coding Compliance Auditor job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 11% Part Time, and 4% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $68,732 per year, or $33 per hour.

$25.49/hr

Full-time

Re-posted 23 days ago


St. Joseph's/Candler Health System rating

6.7

Company rating: 6.7 out of 10

Based on 19 frontline employees who took The Breakroom Quiz


Job description

  • Position Summary
    • The Compliance Auditor will support the compliance functions at SJ/C. The auditor is expected to conduct independent compliance audits and monitor revenue cycle and related processes as identified in the annual compliance plan. Completes audits to ensure revenue cycle and related process compliance with Health System policies, third party payer contracts and government regulations. Prepares detailed reports on audit results and provides education related to billing and coding as well as other compliance requirements. Works with all employees of SJ/C to enhance the efficiency and effectiveness of the billing process at SJ/C and all other SJ/C Affiliates.
  • Education
    • Bachelors - Preferred
    • Completion of relevant continuing education related to recent changes in coding, health care billing, medical terminology and reimbursement - Preferred
  • Experience
    • 3-5 Years combination of school and work experience - Required
    • Recent work experience in revenue cycle which may include billing, outpatient coding, denials management, revenue integrity,  medical records or a combination of revenue cycle experience - Required
    • Knowledge of medical terminology, ICD-10, CPT, HCPCs, DRG, APC, ICD-10 PCS modifiers, billing requirements, and other relevant revenue cycle regulations and guidelines - Required
    • Strong Interpersonal and written communication skills- Required
    • Strong conceptual, analytical, and problem-solving skills - Required
    • High degree of organizational and effective time management skills - Required 
  • License & Certification
    • Certification in medical coding through AHIMA or AAPC such as CPC, COC or RHIT - Preferred 
    • Certification in revenue cycle such as CRCP, CRCE, CCT through AAHAM or SCPR or CRCP through HFMA - Preferred
  • Core Job Functions
    • Completes independent audits to ensure coding & billing accuracy and other identified related compliance with Health System policies, third party payer contracts and government regulations.
    • Identifies, develops, and documents audit findings and recommendations. Ensures proper and complete documentation to support all audits and reviews. Works collaboratively to finalize audit results and recommendations.
    • Collaborates with the Director of Revenue Integrity to reviews current patient access, patient financial services, and other revenue cycle processes. In conjunction with the Director of Revenue Integrity and Revenue Cycle leaders, make recommendations for process improvements focusing on patient experience and compliance.
    • Follows SJ/C annual compliance work plan as priority focus for auditing. Participates in the development of annual revenue integrity audit plan. Ensures plans are complementary.
    • Identifies opportunities for training and resource development in the revenue cycle and outpatient clinical service areas to support compliance. May provide training on identified opportunities or work collaboratively with other SJ/C leaders to develop and provide training.
    • Keeps abreast of newest trends and billing/coding/reimbursement regulations in the industry and relays that information to the legal department, revenue cycle leaders, and others as appropriate.

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